Fitz Flashcards

1
Q

Eyelid movements are mediated by what three muscles?

How are they innervated?

A

Three muscles

orbicularis oculi and levator palpebrae superioris (ACh acts on nicotinic receptros to cause contraction)

superior tarsal muscle (sympathetic innervation via a1 receptors)

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2
Q

dopaminergic

A
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3
Q

emmetropic

A
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4
Q

focusing power =

A

1/focal length

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5
Q

accomodation

A

focusing power

fatter lens = more accomodation

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6
Q

Distance vision

A

sympathetic activation!

relaxation of ciliary muscle

via activation of ß2 receptors

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7
Q

Near vision

A

parasympathetic activation

contraction of ciliary muslces

muscarinic receptors

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8
Q

hyperopia

A

farsightedness

Axial length < focal length

caused by lens that is too short or lens that is too weak

correct with convex lens to increase refractive power

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9
Q

Myopia

A

nearsightedness

correct with concave lens

axial length > focal length

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10
Q

presbyopia

A

less flexible lens

decrease in accomodation

middle age…

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11
Q

astigmatism

A

uneveness in lens

part of visual field will be out of focus

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12
Q

cataracts

A

opaquness in lens

physical damage, radiation, high [glucose]

remove lens, replace

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13
Q

pupillary light reflex

A

causes miosis (parasympathetic stimulation of sphincter pupillae via muscarinic receptors)

and

mydriasis (sympathetic stimulation (a1 receptors) that activates the dilator pupillae muscles)

light in one eye –> constriction in another… used to test brain injury.

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14
Q

increased intraocular pressure can cause permanent vision loss

A

closed angle glaucoma (medical emergency) – caused by blockage of fluid outflow

open angle glaucoma (slowly developes) – caused by increase in aqueous humour production or a blockage of outflow

increased interocular pressure!!

  1. cornea – halos, blurring; 2. photoreceptor pressure; 3. optic nerve pressure; 4. arterial supply
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15
Q

aqueous humor volumn and intraocular pressure

A

inflow – sympathetics –> ß2 (increases flow) and alpha1 (decreases flow) of H2O via carbonic anhydrase

outflow – parasympathetics –> canal of Schlemm contract sphincter pupillae

intraocular pressure = 20 mmHg (>30 glaucoma)

(Pressure = flow x resistance (V = IR))

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16
Q

Cells and circritry of the retina

A
  1. Generate receptor potential– transduction
  2. Bipolar cells – graded potential
  3. Ganglion cells – action potential generated (axons form optic nerve)
17
Q

Rods and Cones

A

Rods are responsible for scotopic vision (black and white; monochromatic vision)–high sensitivity! less precise!

Cones; 3 types– blue, green, and red; or short, medium, and long (respectively).

Cones have better spatial and temporal resolution than rods; photopic vision

18
Q

visual acuity

A

spacial acuity: where is something in space (snellen eye chart to determine). Cones: Best in fovea.

Temporal acuity: ability to distinguish 2 events as separate.

Spectral acuity: ability to distinguish differences in wavelength (color) – how well cone system is functioning

19
Q

phototransduction

A
  1. activation of rhodopsin
  2. rhodopsin joins with transducin
  3. GTP –> GDP; activated phosphodiesterase, which breaks down cGMP
  4. cGMP holds open Na+ channel, which then releases.
20
Q
A